Abraham A Oyewo, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

047127 Issued in GA

Practice address

80 Jessie Hill
Grady Health System
Atlanta, GA 30303

Phone

(404) 616-7085

Fax

(404) 756-1402

NPI assigned

Aug 17, 2005

Last updated

Dec 22, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1437141389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 WESTVIEW DR SW",
            "address_2": "HARRIS BUILDING SUITE 100A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101458",
            "telephone_number": "404-756-1400",
            "fax_number": "404-786-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 JESSIE HILL",
            "address_2": "GRADY HEALTH SYSTEM",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30303",
            "telephone_number": "404-616-7085",
            "fax_number": "404-756-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYEWO",
        "first_name": "ABRAHAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "047127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00907222A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adejoke O Oyeniya, AGACNP-BC
• Abayomi Oyenuga
• Esther Oluwadamilola Oyerinde
• Nelson M Oyesiku, MD
• Patricia Ayoola Oyetakin, M.D.
• Agnes Pukande Oyewo, FNP-C
• Oluwabukunmi Elijah Oyewole, RPH
• Oluwabusayo Oyewole
• Comfort Oyeyemi
• Moyosoye Folayan Oyeyinka, M.D.

• Geriatric Medicine (Internal Medicine) Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Geriatric Medicine (Internal Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.